Claims Coordination of Benefits (COB) Analyst

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<p style="margin-top: 0pt; margin-bottom: 0pt;"><span style="font-size: 12pt; font-family: 'times new roman', times, serif;"><strong>About Curative</strong></span></p> <p> </p> <p style="margin-top: 0pt; margin-bottom: 0pt;"><span style="font-size: 12pt; font-family: 'times new roman', times, serif;">Curative is building the future of health insurance with a first-of-its-kind employer-based plan designed to remove financial barriers and make care truly accessible: one monthly premium with $0 copays and $0 deductibles*. Backed by our recent <strong>$150M in Series B funding </strong>and valuation at <strong>$1.275B</strong>, Curative is scaling rapidly and investing in AI-powered service, deeper member engagement, and a smart network designed for today’s workforce.</span></p> <p style="margin-top: 0pt; margin-bottom: 0pt;"> </p> <p style="margin-top: 0pt; margin-bottom: 0pt;"><span style="font-size: 12pt; font-family: 'times new roman', times, serif;">Our north star guides everything we do: <strong>healthcare only works when people can actually use it</strong>. That belief drives every decision we make: from how we design our plan, support our members, to how we collaborate as a team.</span></p> <p style="margin-top: 0pt; margin-bottom: 0pt;"> </p> <p style="margin-top: 0pt; margin-bottom: 0pt;"><span style="font-size: 12pt; font-family: 'times new roman', times, serif;">If you want to do meaningful work with a team that moves fast, experiments boldly, and cares deeply, Curative is the place to do it. We’re growing fast and looking for teammates who want to help transform health insurance for the better.</span></p> <p style="margin-top: 0pt; margin-bottom: 0pt;"> </p> <p><span style="font-size: 12pt; font-family: 'times new roman', times, serif;"><strong>Job Summary:</strong></span><br><span style="font-size: 12pt; font-family: 'times new roman', times, serif;">The Claims Coordination of Benefits (COB) Analyst plays a critical role in ensuring payment accuracy by identifying, analyzing, and coordinating benefits across multiple payers. This position supports the organization’s payment integrity initiatives by preventing improper payments, identifying overpayments, and supporting recovery efforts related to COB discrepancies. The Senior Analyst is responsible for interpreting COB rules, resolving complex claim issues, and validating payer hierarchy to determine accurate financial liability. They collaborate closely with claims, recovery, subrogation, and vendor management teams to drive COB-related process improvements and reduce waste. This role also supports audit responses, regulatory compliance, and special projects that impact overall claims </span><span style="font-size: 12pt; font-family: 'times new roman', times, serif;">accuracy and payment integrity performance.</span></p> <p> </p> <p><span style="font-size: 12pt; font-family: 'times new roman', times, serif;"><strong>Key Responsibilities:</strong></span></p> <ul> <li><span style="font-size: 12pt; font-family: 'times new roman', times, serif;">Conduct in-depth COB analysis to prevent and recover incorrect payments</span></li> <li><span style="font-size: 12pt; font-family: 'times new roman', times, serif;">Apply CMS, NAIC, ERISA, and Medicare Secondary Payer (MSP) rules to determine primary/secondary liability</span></li> <li><span style="font-size: 12pt; font-family: 'times new roman', times, serif;">Identify trends and root causes of COB payment errors; propose solutions to enhance payment integrity</span></li> <li><span style="font-size: 12pt; font-family: 'times new roman', times, serif;">Collaborate with Payment Integrity and SIU teams to resolve claims flagged for COB issues or FWA risk</span></li> <li><span style="font-size: 12pt; font-family: 'times new roman', times, serif;">Monitor COB-related metrics and KPIs to support operational and compliance goals</span></li> <li><span style="font-size: 12pt; font-family: 'times new roman', times, serif;">Collaborate with claims and adjustments teams on operational workflows to ensure COB accuracy and reduce rework and member/provider abrasion</span></li> </ul> <p><span style="font-size: 12pt; font-family: 'times new roman', times, serif;"><strong>Core Competencies:</strong></span></p> <ul> <li><span style="font-size: 12pt; font-family: 'times new roman', times, serif;">In-depth understanding of COB processes, claim adjudication, and payer coordination rules</span></li> <li><span style="font-size: 12pt; font-family: 'times new roman', times, serif;">Proven experience supporting or working within a Payment Integrity department</span></li> <li><span style="font-size: 12pt; font-family: 'times new roman', times, serif;">Strong investigative and data analysis skills, including use of Excel and SQL</span></li> <li><span style="font-size: 12pt; font-family: 'times new roman', times, serif;">Working knowledge of CARCs, RARCs, and overpayment recovery workflows</span></li> </ul> <p><span style="font-size: 12pt; font-family: 'times new roman', times, serif;"><strong>Qualifications:</strong></span></p> <ul> <li><span style="font-size: 12pt; font-family: 'times new roman', times, serif;">3–5+ years in COB analysis, claims operations, or payment integrity at a health plan or TPA</span></li> <li><span style="font-size: 12pt; font-family: 'times new roman', times, serif;">Experience with pre-pay and post-pay integrity controls, audit response, and provider recovery</span></li> <li><span style="font-size: 12pt; font-family: 'times new roman', times, serif;">Familiarity with claims platforms such as HealthEdge, Facets, or QNXT</span></li> <li><span style="font-size: 12pt; font-family: 'times new roman', times, serif;">Strong knowledge of federal and state regulations affecting COB and improper payment recovery</span></li> </ul> <p style="margin-top: 0pt; margin-bottom: 0pt;"> </p> <p style="margin-top: 0pt; margin-bottom: 0pt;"> </p> <p style="margin-top: 0pt; margin-bottom: 0pt;"><span style="font-size: 12pt; font-family: 'times new roman', times, serif;"><strong>Perks & Benefits </strong></span></p> <p style="margin-top: 0pt; margin-bottom: 0pt;"><span style="font-size: 12pt; font-family: 'times new roman', times, serif;"> </span></p> <ul style="margin-top: 0px; margin-bottom: 0px;"> <li style="font-size: 11pt; font-family: Arial, sans-serif;"> <p style="margin-top: 0pt; margin-bottom: 0pt;"><span style="font-size: 12pt; font-family: 'times new roman', times, serif;">Curative Health Plan (100% employer-covered medical premiums for you and 50% coverage for dependents on the base plan.)</span></p> <ul> <li style="font-size: 11pt; font-family: Arial, sans-serif;"> <p style="margin-top: 0pt; margin-bottom: 0pt;"><span style="font-size: 12pt; font-family: 'times new roman', times, serif;">$0 copays and $0 deductibles (with completion of our Baseline Visit )</span></p> </li> <li style="font-size: 11pt; font-family: Arial, sans-serif;"> <p style="margin-top: 0pt; margin-bottom: 0pt;"><span style="font-size: 12pt; font-family: 'times new roman', times, serif;">Preventive and primary care built in</span></p> </li> <li style="font-size: 11pt; font-family: Arial, sans-serif;"> <p style="margin-top: 0pt; margin-bottom: 0pt;"><span style="font-size: 12pt; font-family: 'times new roman', times, serif;">Mental health support (Rula, Televero, Two Chairs, Recovery Unplugged)</span></p> </li> <li style="font-size: 11pt; font-family: Arial, sans-serif;"> <p style="margin-top: 0pt; margin-bottom: 0pt;"><span style="font-size: 12pt; font-family: 'times new roman', times, serif;">One-on-one care navigation</span></p> </li> <li style="font-size: 11pt; font-family: Arial, sans-serif;"> <p style="margin-top: 0pt; margin-bottom: 0pt;"><span style="font-size: 12pt; font-family: 'times new roman', times, serif;">Chronic condition programs (diabetes, weight, hypertension)</span></p> </li> <li style="font-size: 11pt; font-family: Arial, sans-serif;"> <p style="margin-top: 0pt; margin-bottom: 0pt;"><span style="font-size: 12pt; font-family: 'times new roman', times, serif;">Maternity and family planning support</span></p> </li> <li style="font-size: 11pt; font-family: Arial, sans-serif;"> <p style="margin-top: 0pt; margin-bottom: 0pt;"><span style="font-size: 12pt; font-family: 'times new roman', times, serif;">24/7/365 Curative Telehealth</span></p> </li> <li style="font-size: 11pt; font-family: Arial, sans-serif;"> <p style="margin-top: 0pt; margin-bottom: 0pt;"><span style="font-size: 12pt; font-family: 'times new roman', times, serif;">Pharmacy benefits </span></p> </li> </ul> </li> <li style="font-size: 11pt; font-family: Arial, sans-serif;"> <p style="margin-top: 0pt; margin-bottom: 0pt;"><span style="font-size: 12pt; font-family: 'times new roman', times, serif;">Comprehensive dental and vision coverage</span></p> </li> <li style="font-size: 11pt; font-family: Arial, sans-serif;"> <p style="margin-top: 0pt; margin-bottom: 0pt;"><span style="font-size: 12pt; font-family: 'times new roman', times, serif;">Employer-provided life and disability coverage with additional supplemental options</span></p> </li> <li style="font-size: 11pt; font-family: Arial, sans-serif;"> <p style="margin-top: 0pt; margin-bottom: 0pt;"><span style="font-size: 12pt; font-family: 'times new roman', times, serif;">Flexible spending accounts </span></p> </li> <li style="font-size: 11pt; font-family: Arial, sans-serif;"> <p style="margin-top: 0pt; margin-bottom: 0pt;"><span style="font-size: 12pt; font-family: 'times new roman', times, serif;">Flexible work options: remote and in-person opportunities </span></p> </li> <li style="font-size: 11pt; font-family: Arial, sans-serif;"> <p style="margin-top: 0pt; margin-bottom: 0pt;"><span style="font-size: 12pt; font-family: 'times new roman', times, serif;">Generous PTO policy plus 11 paid annual company holidays</span></p> </li> <li style="font-size: 11pt; font-family: Arial, sans-serif;"> <p style="margin-top: 0pt; margin-bottom: 0pt;"><span style="font-size: 12pt; font-family: 'times new roman', times, serif;">401K for full-time employees</span></p> </li> <li style="font-size: 11pt; font-family: Arial, sans-serif;"> <p style="margin-top: 0pt; margin-bottom: 0pt;"><span style="font-size: 12pt; font-family: 'times new roman', times, serif;">Generous Up to 8–12 weeks paid parental leave, based on role eligibility.</span></p> </li> </ul> <p style="margin-top: 0pt; margin-bottom: 0pt;"> </p>

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